PTSD: Why It’s so Hard to Talk To Your Loved Ones

One of the worst things about PTSD is how it cuts you off from those who want to be there for you: your spouse, and closest friends and family.

When you’re suffering, your loved ones want to help. They might ask what’s wrong. You know they’re trying to help… Only, you feel like you can’t talk to them.

Your loved ones can’t understand why you won’t talk about it. They might feel shut out and rejected; their feelings might be hurt that you won’t let them be there for you. And that might make you feel guilty, which doesn’t help: now you’re feeling guilty on top of suffering, and your loved one is feeling rejected and helpless. Yikes!

…If this scenario sounds familiar to you, then I invite you to read this post, and then share it with your loved one. Hopefully, it’ll help both of you understand what’s going on and why. And it’ll help both of you feel better.

A big piece of PTSD is avoidance. Basically, that means even thinking about “that stuff” is about as easy as staring directly into the sun without squinting: just like the glare of the sun, the glare of your feelings around the trauma is too intense. It’s not that you’re trying to shut out your loved one; first and foremost you’re trying to shut yourself out, because thinking about your trauma just feels so awful.

Now, add to the pain of thinking about the trauma, the idea of sharing it with your loved one. That takes it to a whole new level: it feels like taking your most horrible, painful thoughts and feelings, and inflicting them on someone you care about. You can’t bring yourself to do it because you can’t bear to even think about that stuff, can’t bear to hurt them, and can’t bear to watch how it hurts them to know what happened to you.

It’s not a choice, it’s a symptom. So, stop beating up on yourself about it – the shame and guilt just makes you feel worse for something you can’t control right now. Instead tell your loved one something like, “Thank you for caring about me. Your support means a lot. I wish I could talk to you about it, but right now I just can’t. Even thinking about it to myself is too much.”

If you’re the loved one on the other end of this, understand that it can be too painful for the person with PTSD to talk about their trauma. It’s not a choice; it’s not a reflection of how much they trust you, so please don’t make it a test of your relationship. Know that if they could, they would tell you. Let them know that you support them, and ask how you can be helpful. Realize that sometimes, being helpful might mean backing off, or helping them distract from their feelings.

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I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is the copyrighted property of Larry M. Jaipaul; please do not copy images without permission.

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The Trouble with Positive Thinking

Today I’d like to talk to you about positive thinking. It’s a popular concept, right? You hear about it all the time: “Just think positive!” It’s supposed to make you feel better and get you out of a rut if you’re feeling stuck.

Well – it’s not quite that simple. And sometimes, “just thinking positive” is not actually a good thing. Let me try to explain that with an example.

 

When you’re feeling concerned about something, that nagging ‘what-if’ experience is a bit like fearing that there might be a grizzly bear standing behind you. “Thinking positive” is like telling yourself to ignore the possibility of A BEAR, and just look at the pretty meadow in front of you.

…First of all, it doesn’t work. It’s a BEAR. Expecting yourself to ignore your fear under these circumstances is ridiculous!!! You can’t get your mind off the bear, no matter how hard you try to make yourself think of the meadow instead. And when you can’t do it, you feel like a failure. So now, you’re feeling scared of the bear, pressured to not feel scared of the bear, and ashamed that you can’t stop feeling scared of the bear. Gee, that’s a much bigger mess than just being scared of the bear, now isn’t it?

…Second – trying to force the bear out of your mind is exhausting. It takes up all of your energy, and makes it hard to focus on anything else.

…And third – it’s basically avoidance. Avoidance feeds the fear, and keeps it growing.

So – what can you do instead?

Well – I’m guessing that most of your concerns are a little more complicated than imaginary bears. You can’t just make the concern go away by checking behind you or under the bed.

Start by acknowledging your feeling of fear. Then, ask yourself – what kind of a fear is it?

If it’s a “what-if” that you’re afraid of, then mindfulness is a tool that might help you to re-focus your energy away from the fear of a potential future event that hasn’t happened yet, and back onto the present.

If your fear is a reaction to something that is really happening, remind yourself that feelings are natural, healthy reactions to events. It’s understandable and human to feel that way. Then, at least you aren’t piling shame and guilt on top of the worrying. That doesn’t fix whatever you’re worried about, but at least it frees up some mental space for problem-solving…

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I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is copyrighted. The photo gracing today’s post was taken by Wojtek Rajski, and I’d like to thank him for generously allowing me to use his work. Please do not copy content, including photographs, from Coming Back Home without permission.

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Military Training vs. Mindfulness

I’d like to start on a new topic today: mindfulness. It’s going to take a few posts to talk about it, because there’s a fair bit to say.

If you haven’t heard of it before, I think you’ll like it. Mindfulness is a way to let go of the self-criticism, shame and guilt that often contributes to keeping us stuck in misery.

Mindfuless is so awesome, I could almost say it’s nutritious and delicious, and I’d only be exaggerating a little.

Not only that, but mindfulness is… the exact opposite of everything you have learned in your entire military career, EVER.

So, wrapping your head around it is going to feel a bit like learning to live on an alien planet.

In the military, you learn to push yourself to your limits, and then to push yourself some more. If that doesn’t work, then the answer is to push yourself even harder – never yield, never, ever give up.

Now – I’m not pointing this out to in any way disrespect military culture – your perseverance is something that I respect and admire. I understand that, in your line of work, expecting yourself to succeed against impossible odds is necessary.

Here’s the thing, though: when dealing with your mental health, that dogged determination can contribute to grinding you deeper into your misery.

It’s like this: maybe you went through some stuff, and it rattled you, and you just can’t shake it. But, you might believe that failure is unacceptable, and you feel like a failure that you can’t shake it. You also might believe that the way to success is to push yourself harder (because that’s what life in the military taught you).

The thing is – when you’re depressed, overwhelmed, stressed out, not sleeping well, having nightmares and panic attacks – then pushing yourself harder, and expecting yourself to suck it up and soldier on doesn’t magically make your issues go away. In fact, it often does just the opposite – it might make you feel worse.

In your training and your work in the military, pushing yourself harder is often your best tool. In your mental health, it’s your worst enemy.

So – this is why we’re going to learn about mindfulness. Mindfulness is about noticing our own experience without judging it; no shame, no guilt, no self-criticism, just a “here’s where I’m at now”.

NO, it doesn’t magically solve all of your problems in an instant – but, it gives you a chance to stop being your own worst enemy. And once you stop putting all of your energy into beating up on yourself, well, then it actually becomes a lot easier to cope.

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I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is copyrighted. The photo gracing today’s post was taken by Larry M. Jaipaul, and I’d like to thank him for generously allowing me to use his work. Please do not copy photographs from Coming Back Home without permission.

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Getting Through the Holidays, Part 1: Make a Plan

When you’re dealing with PTSD and/or depression, the holidays can be especially difficult, for a number of reasons:

  • Family: you may have loved ones who don’t really understand what you’re going through. They might try really hard to make you happy because it’s the holidays. When that fails, you might feel guilty, and they might feel underappreciated and resentful;
  • Gatherings: being in a group of happy people might make you feel like an outsider. You don’t feel how they’re feeling, and seeing happy people can be all the more excruciating when you’re hurting.
  • Survivor’s guilt: if you’ve lost buddies, you may feel undeserving of celebrating the holidays with your family when others don’t have a chance to celebrate with theirs.
  • Trauma anniversaries: if the bad stuff happened around the holidays, you may find yourself even more on edge at this time of year.
  • Crowds are hard enough when they aren’t filled with frenzied holiday shoppers.

This is by no means a list of everything that comes up around the holidays, but it’s some of the more common concerns.

Here’s the thing: you’re here, you’re reading this post, and that’s already a good step forward. Let’s take some time to think about it and problem-solve, to try to get you through the holidays as smoothly as possible this year.

First – give some thought to what the holidays were like last year. What were the biggest trouble spots for you?

  • If a relative tried to “cheer you up” and then felt hurt or upset that it didn’t work, please send them this post. They need to know that it’s not their fault, or yours. You can’t make depression or PTSD take a break for the holidays.
  • If big gatherings are difficult: (1) go to smaller gatherings; (2) don’t attend every single thing you’re asked to do; (3) use coping strategies, like going outside for a few minutes of relaxation; offering to take the host’s dog around the block; or leaving when you need to, rather than just sitting there and punishing yourself.
  • Plan ahead what you feel up to this year, and what you don’t. Don’t participate out of a sense of duty and obligation; skip what you need to skip.
  • The holidays can be a really lonely, isolating experience. Please realize YOU ARE NOT ALONE. This blog has 15,000 readers – that’s fifteen thousand readers who can relate to how you’re feeling. So while you’re avoiding the big gatherings with your relatives, reach out to a battle buddy. If you don’t have one, reach out right here.

Hey – all I want from Santa this year, is for all my readers to still be around in January. And he’d better deliver.

Please reach out when you need to. 

I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

 

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is copyrighted. The photo gracing today’s post was taken by Murray Chappell, and I’d like to thank him for generously allowing me to use his work. Please do not copy photographs from Coming Back Home without permission.

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PTSD Triggers: Trauma Anniversaries

As far as triggers go, few are as powerful as the anniversary of your trauma.

You probably start to tense up a bit just thinking about it. As the date gets closer, you might get this sinking feeling, like you’re a sitting duck and there’s no escape.

To cope with that feeling, you have to realize that even though you can’t stop the calendar, there are things you can do to cope.

Whether you feel uneasy, tense, nervous, anxious… You’re feeling that way because an anniversary is a reminder. Realize that your feelings are unpleasant but not dangerous.

Use your grounding skills to ground yourself in the here-and-now:

What year did that stuff happen? What year is it now? How long has it been since this happened? Asking these three questions is an important part of reminding yourself that the memory is “back then”, and you are in the “right now”, and there is lots of time separating you from that memory. The memory is a painful one, but it can’t hurt you. Your memory is back then. You are here now. It’s over, and you are no longer in danger.

– Where are you now, as compared to where you were back then? What’s different in your life now, as compared to back then? These are different ways of making the point in your head: That was back then. I am here now; now is different from then; and I am no longer in danger.

It helps to do things to keep busy, especially things that are different from what you were doing on the day when it happened. When the memory starts to creep up, remind yourself: “Right now, I’m home, the year is [now], and I am [doing whatever you’re doing right now]. That happened back in [whatever year], and I was [wherever], and I was [doing whatever]. Right now is different from back then. That’s a memory. I dislike remembering it, but it can’t hurt me anymore. It’s in the past. It’s over.”

Sometimes, your trauma anniversary is not just about something awful that happened to you – it may also involve the loss of someone you care about. If that’s the case, then you may also be overwhelmed with feelings of loss and grief for the person or people you lost on that day. You may think about all the good things that have happened since that they missed out on.

It’s healthy and natural to have feelings of grief. Too often, we think that acknowledging a loss is the same as depression, so we try to avoid healthy, appropriate grief.

So give yourself permission to grieve. Realize that the day will be hard on you; take it easy on yourself. Plan ahead of time to do things that ground you and give you comfort.

When it’s over, take an inventory: what did you do that helped, and what will you do differently next year? That way, hopefully coping might get a little easier from one year to the next.

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I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

 

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is the copyrighted property of Larry M. Jaipaul; please do not copy images without permission.

This post is shared to mark my own trauma anniversary, and dedicated to the memory of my cousin Pete. We miss you buddy.

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PTSD: Dissociative Symptoms

Holy feedback!

As soon as I put up the last blog post, there was a stampede of comments and emails saying, “Yes! Talk about this more!!!”

Okay.

So we left off talking about how the “freeze” response is part of the fight/flight/freeze reflex. It’s how we defend ourselves when we can’t fight or run away; it dulls the pain of whatever is happening.

Let’s put this together with some information we have from before, about how reflex learns: it learns that any reminder of the trauma is a sign of danger.

So – a reminder of your trauma might set off a “freeze” reaction.

Here’s what it feels like: you might feel like you’re not really in your body so it’s not really happening to you (this is called depersonalization); or you might feel like the whole thing is a dream, a movie, or happening in slow motion like it’s not real (this is called derealization). You might feel like you’re just losing chunks of time – ‘waking up’ and not knowing how you got to be wherever you are.

Here’s what it feels like to have PTSD do this to your life: it’s terrifying. You feel like you have no control over your mind or body. You want to do everything you can to grip onto reality, but you get sucked into this rabbit hole. You might feel angry at your mind for betraying you this way.  You might feel guilty, weak, and ashamed for not being “strong enough” to somehow hang on tighter and not let this happen to you. It can leave you feeling traumatized again and again, every time it happens, because being helpless to stop yourself from dissociating can remind you of being helpless to stop your trauma when it happened. You might feel depressed, useless, worthless.

…Boy, sounds like fun, doesn’t it?

Look – I won’t try and tell you that getting out of this is going to be quick or easy. If your PTSD includes dissociation, research suggests that, as far as PTSD goes, yours is bigger and harder to heal.

What makes it worse is, every time it happens, you might feel disappointed in yourself, like you should be stronger. This just erodes whatever self-respect you have left. You’d never say stuff like that to a buddy to encourage them when they’re struggling…

You need to start by realizing that this happens to you because you don’t feel safe; so, how you start to fix it, is to work on increasing your sense of safety.

The ability to feel safe is like a muscle – and yours is, well… It’s not so strong. You strengthen it with exercises – stuff like relaxation. Grounding skills. These are your drills: practice this stuff. Be patient with yourself: this might mean that, for now, don’t purposely put yourself in circumstances that you know will be overwhelming for you. What you’re trying to accomplish here is very hard work, so give it time.

Finally – you know that fine print I put at the end of every post? You know, the stuff that you never read, because you don’t think there’s anything important under the pretty picture?

Yeah; it says that this blog is not a substitute for therapy. If you’re dealing with PTSD with dissociative symptoms, it’s extremely difficult to try and heal that on your own. Please consider getting help to give yourself the best chance of recovery.

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I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

 

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is the copyrighted property of Larry M. Jaipaul; please do not copy images without permission.

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PTSD: Reflex and The “Freeze” Response

…You know I’m all about feedback, right? You know this is YOUR blog, and I’ll write about whatever you need?

Well – my stats tracker thingy tells me somebody ended up on Coming Back Home by Googling “PTSD + Freeze response”.

And I thought, Huh – I don’t really have a good article on that. I mean, if I was Random Google Person, I’d be a little disappointed.

So – good suggestion, Random Google Person! This post is for you!

If you recall from previous discussions, PTSD is basically a survival reflex stuck in a loop with no off switch. This reflex has three parts, depending on what kind of threat you’re up against:

fight is where you respond to a threat by beating up on it. Military training works to strengthen this part of your survival reflex.

flight is where you run for the hills to get away from the threat.

freeze is what you do when neither of the above is an option.

In this post, we’re going to discuss the freeze response, the way it happens in the face of an actual threat. Next post, we’ll talk about dissociation, which is what happens when the “freeze” reaction gets stuck, like in PTSD or dissociative disorder.

It’s like this: imagine a goldfish.

It’s in a fishbowl. The cat just jumped on the table and stuck his paw into the bowl. What’s the fishy gonna do?

He’s can’t fight off the cat, and he can’t run away, because he’s in a fishbowl. Poor little fishy. The cat is about to enjoy some fresh sushi.

So – what does the fish do? He freezes; freezing helps him feel less pain, both physically and emotionally.

Freezing might feel like time has slowed down; like what’s happening isn’t real; or like he isn’t really there. The goldfish might feel like he’s floating above his body, watching the cat enjoy his sushi.

Feeling this way is a normal reaction to a situation of extreme, life-threatening danger, where you can’t fight and can’t get away.

If you’re a goldfish who’s about to get eaten by a cat, feeling like you’re floating above your body and the whole thing is not really happening is less terrifying, which is why our reflex is built this way.

But – suppose just as the cat is scooping up the goldfish, someone comes along and screams, startling the cat. Poor little fishy lives, but is scarred by this near-death experience: he might get stuck in this “freeze” reaction. He might end up with severe PTSD, and symptoms that we call dissociation. We’ll talk a bit more about that in the next post.

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I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

 

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is the copyrighted property of Larry M. Jaipaul; please do not copy images without permission.

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Your Deployment, Your Family, and… THEIR Trauma

Since we’re already on the topic of all the different kinds of trauma that can result in PTSD, I was thinking… let’s talk about families.

As we were discussing in the last post – a “traumatic event” is any situation where you’re exposed to actual or threatened harm.

As we discussed, “actual or threatened” means that even if it doesn’t end up happening, being genuinely scared that it would happen can still impact you.

It doesn’t have to happen to you; it can be something that happens to someone else, while you’re helpless to stop it.

Even if you aren’t there when it happened, learning the gory details of what happened to someone else can mess with you.

So – let’s take a minute to put this together:

Say you’re deployed. Your family stays behind. They spend months on end being bombarded with media reports about the horrible events happening in the place where you went.

You face dangers every day; they’re too far away to be able to do anything other than feel helpless and hope that you come home in one piece.

…what’s happening to your family here – that’s trauma. It’s not the sexy kind of trauma that makes for a great story, but it’s still trauma.

Now, that does NOT mean that your family will automatically get PTSD just because you were deployed – but, it’s trauma, so it certainly might impact them.

Your family might feel pressured to outwardly say nothing other than how proud they are of your service. They might face a barrage of well-meaning friends and strangers offering all sorts of comments – everything from, “You must be so proud!”, to, “That’s crazy! Don’t you watch the news? They get blown up all the time over there!” (This was actually said to the spouse of someone I know…)

To you, deployment is part of your job; to them, it’s hard not to take personally. Privately, your loved ones might feel rejected and abandoned. They might feel angry and resentful that you would leave them behind, to go to some far-away place and risk getting hurt or killed, and leave them worried about your safety for months on end. They might also feel guilt if you made it home safe and other families weren’t so lucky.

So – on top of the emotions that you might bring home – your family members may have some concerns of their own to throw into the mix.

All that can make for a challenging adjustment to family life.

So – how do you get through it?

You try to be understanding of each other. You went through a lot; so did they. It’s not a competition. You’re a team;  adjusting to life after deployment is teamwork. Communication is important; try to talk about your feelings. Try to listen to family members talking about their feelings, without getting angry or defensive.

Most importantly, recognize when you need help adjusting, and reach out for it – whether you need individual therapy, family or couples therapy, or a bit of each.

I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (i.e., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

 

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is copyrighted. The photo gracing today’s post was taken by Wojtek Rajski, and I’d like to thank him for generously allowing me to use his work. Please do not copy photographs from Coming Back Home without permission.

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The many flavours of PTSD: It’s not a competition!

Today – by request – we’re going to talk a bit about what trauma actually is.

It turns out, different people have different ideas about what’s awful enough to be “real trauma”.

You might have a buddy who went through some really messed up stuff. You might think, he or she “earned” their right to have PTSD because of what they went through.

In comparison, what you went through might not seem as bad. Maybe you have nightmares, and you avoid things that remind you of what happened. And you get angry at yourself. You start telling yourself that if you should be able to handle it, and what’s wrong with you that you can’t.

Worse still – it might be other people telling you this stuff. They might they have a different flavour of PTSD than yours, because they went through different stuff. Somehow they might think that their trauma is bigger and better than yours, and yours isn’t “real” enough.

It’s not a competition.

To put it in perspective, imagine it was a broken leg. You could break your leg getting hit by a stampeding hippopotamus. (Hey, you never know). Or, you could trip over your kid’s toy and fall down the stairs. The difference is, with scenario #1 you get an awesome story… story #2 doesn’t sound as cool. Leg’s still messed up though.

Trauma that causes PTSD is sort of like that too – sometimes, it’s a hippopotamus – it comes with the type of “Rambo” story that movies are made of. Other times, it doesn’t make for a great story.

(HEADS UP: I’m going to describe the kinds of stuff that might cause PTSD. I’m NOT going to use examples, but it still might be tough to read. If you get unsettled, remind yourself that what happened is over. If you need more help coping, try these. )

A “traumatic event” is any situation where you’re exposed to actual or threatened death, serious injury, or sexual violence.

Actual or threatened means that even if it doesn’t end up happening, if you were scared because there was a real risk that it was going to happen, that can still mess you up.

It doesn’t have to happen to you; you can witness it happening to someone else, and be helpless to stop it.

Even if you aren’t there when it happened, learning the gory details of what happened to someone else can mess with you.

This is the way your brain works; trauma comes in many different flavours.

Maybe you didn’t get your PTSD from combat. Maybe you weren’t even deployed. So, it might seem that your trauma isn’t quite as “sexy” as someone else’s.

Really, people: It’s trauma. It ain’t lingerie. It don’t need to be sexy.

I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

 

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is copyrighted. The photo gracing today’s post was taken by M&C Charbonneau, and I’d like to thank them for generously allowing me to use their work. Please do not copy photographs from Coming Back Home without permission.

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Sexual Dysfunction and Relationships, Part I

*Disclaimer: This is a really broad topic, and I’m not a sex therapy expert, so unfortunately, I won’t be able to cover everything that’s relevant. Most of my patients are male and heterosexual, so I’m addressing the topic from that perspective. I don’t mean to leave anyone else out, I just try to stick to writing about what I know.  

So… Judging by the number of pageviews on the last post, it looks like some of you find it less awkward to discuss sexual dysfunction on the blog than in person.

Good – you need to have access to this information, even if you feel too embarrassed to ask about it face-to-face.

You know, I briefly considered writing the last post about Dave the Zebra. I thought, maybe that would be less awkward for people?

However – Dave the Zebra is actually named after Dave the Dude. I value my friendship with Dave the Dude. Somehow, he didn’t like the idea of putting his name in the same sentence as sexual dysfunction, in a blog read by thousands of people. Go figure, eh?

Well – let’s talk about it. (Dave the Dude, you can relax. I’m keeping you totally out of this…)

In the last post, we talked about how and why PTSD can mess up your sex life.

Today, we’re going to discuss how the mess in your sex life can have a ripple effect on the rest of your life.

Sexual dysfunction messes up your relationships, starting with the relationship that you have with yourself.

(Hey – can we try to focus please? I’m talking about the emotional relationship with yourself – not the five-knuckle-shuffle relationship with yourself! …Not that there’s anything wrong with that…)

Look – who you are in bed is part of your identity. You don’t need to go through life being Mr. Don Juan – even if you’re a relatively vanilla kind of dude, you have a sense of how your plumbing works and what you enjoy doing with it.

When that changes, it can have a big impact on how you feel about yourself. We live in a culture where, as a guy, you’re supposed to be obsessed with sex, or so the media would have you believe. So a lot of guys end up feeling like they’re somehow less of a man when stuff like this happens. You might feel angry and ashamed, and try not to think about it.

If you’re a single dude, this might really have an impact on your confidence about getting into a new relationship. You might question whether a woman would want to be with you, if things don’t quite work the way they used to.

(Answer: yes, the right woman would still want to be with you. The right woman would love you for your sense of humour, your smile, and whatever else it is that makes you awesome in her eyes. And you can sweep her off her feet with flowers and chocolates and kisses and dancing and backrubs and… Well, when it actually comes to sex, most women like all that stuff that most guys rush through to get to the main course. So, serve up a really good appetizer, and she won’t really miss the main course, you catch my drift?)

I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…

You can find me on Twitter and on Facebook.

~ Dr. Dee Rajska, C. Psych.

 

*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.

**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is copyrighted. The photo gracing today’s post was taken by Wojtek Rajski, and I’d like to thank him for generously allowing me to use his work. Please do not copy photographs from Coming Back Home without permission.

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